美国黑人退伍军人对一本小册子做出了积极反应,该小册子使用叙述来使共享决策的正常化
Anna M Barker1, Renda Soylemez Wiener1,2,3, Joel Reisman1
1Center for Health Optimization and Implementation Research (CHOIR), VA Bedford Healthcare System and VA Boston Healthcare System, USA.
Public health in practice (Oxford, England)
|April 15, 2025
概括
有退伍军人故事的小册子改善了黑人退伍军人的参与肺癌查 (LCS) 讨论. 这种资源使他们能够为他们的医疗保健需求辩护,促进信任和参与共享决策 (SDM).
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 患者参与 患者参与
背景情况:
- 黑人美国人,特别是退伍军人,面临着严重的健康差异,包括更高的肺癌死亡率.
- 系统性种族主义导致不信任,阻碍黑人男性参与关键的临床对话,如肺癌查的共享决策 (SDM).
研究的目的:
- 授权黑人退伍军人积极参与LCS的SDM.
- 评估一本联合设计的小册子,以退伍军人叙述为特色,对患者参与和对临床护理的信任的影响.
主要方法:
- 一个干预前后试点研究利用调查.
- 一个全国样本的450名黑人退伍军人有资格接受LCS,他们收到了一本小册子,里面有退伍军人的叙述.
- 后续调查评估了对小册子及其组成部分的反应.
主要成果:
- 39名退伍军人完成了两项调查,显示了对小册子的积极接待.
- 关于LCS的信息被评为有吸引力和信息丰富的,退伍军人的故事也显示出希望.
- 一个强调建立信任的叙述显著鼓励了患者与医生的沟通.
结论:
- 这本小册子展示了作为一种提高黑人退伍军人LCS意识和参与度的工具的潜力.
- 退伍军人叙述可以是一个有效的策略,以加强参与共享决策和临床护理.
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